About the role

  • developing and maintaining cooperative working relationships with the contracting provider community
  • educating, training, researching problems
  • identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed
  • ability and willingness to travel, including overnight stays

Requirements

  • Bachelor’s degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
  • Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
  • Effective interpersonal, analytical, presentation and communication skills.
  • Knowledge of the health care industry and BCBSIL private business.
  • Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
  • Extensive knowledge of contracts, applications, and products.
  • Demonstrated proficiency in provider reimbursement methods.
  • Working knowledge of claims processing systems.
  • Effective organizational and planning skills.
  • Ability to take initiative and work independently.
  • Demonstrated ability to meet deadlines and work well under pressure.
  • Working knowledge of software, including Microsoft Office.

Benefits

  • health and wellness benefits
  • 401(k) savings plan
  • pension plan
  • paid time off
  • paid parental leave
  • disability insurance
  • supplemental life insurance
  • employee assistance program
  • paid holidays
  • tuition reimbursement
  • annual incentive bonus plan

Job title

Provider Network Consultant

Job type

Experience level

JuniorMid level

Salary

$54,800 - $121,100 per year

Degree requirement

Bachelor's Degree

Location requirements

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